Doctor visits and therapy CPT 99212 Outpatient

Returning patient visit, 10 min cost in Sheboygan, WI

In Sheboygan, WI, 2 hospitals list a cash price for returning patient office visit, straightforward problem or 10+ minutes: from $105.00 to $199.32, with a median of $152.16. The lowest listed price is at Aurora Medical Center Sheboygan County — $47.16 less than the median here. Across Wisconsin, the median is $97.50 at 81 hospitals.

Cash prices at 2 facilities for code 99212, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Nov 21, 2025 and Nov 21, 2025.

Lowest$105.00Aurora Medical Center Sheboygan County
Median$152.16half pay less
Highest$199.32in this market
Difference1.9×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Sheboygan, WI.

median
Lowest $105.00Highest $199.32

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Aurora Medical Center Sheboygan County lowest Sheboygan, WI · (920) 451-5000 OP SERV LOW ACUITY-EST PT* $105.00 $210.00 $65.00–$178.50 50% Nov 21, 2025
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Aurora Medical Center Sheboygan County Sheboygan, WI · (920) 451-5000 OP SERV LOW ACUITY-EST PT $120.00 $240.00 $65.00–$204.00 50% Nov 21, 2025
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St Nicholas Hospital of the Hospital Sisters of the Third Order of St Francis Sheboygan, WI · (920) 459-8300 HC CLINIC VISIT LIMIT EST $199.32 $302.00 $95.40–$302.00 34% —
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St Nicholas Hospital of the Hospital Sisters of the Third Order of St Francis Sheboygan, WI · (920) 459-8300 OFFICE O/P EST SF 10 MIN $199.32 $302.00 $95.40–$302.00 34% —
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Outpatient: lowest $105.00, median $152.16, highest $199.32 — a 1.9× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $152.16. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is a short office or outpatient visit for a returning patient, with straightforward decision making or at least 10 minutes of total clinician time on the visit date. It is used for simple issues, such as a quick recheck or a minor complaint.

What the price covers

The price covers the clinician's visit. Lab tests, X-rays, procedures and any hospital facility fee at a hospital-owned clinic are billed separately.